Deirdre G. Hogan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6912 Issued in ME

Practice address

153 US Route 1
Suite 26, Box 10
Scarborough, ME 04074-9052

Phone

(207) 329-9621

Fax

(207) 883-2721

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maine Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1962422964
  NPD (past)
• Possibilities Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, ME
  • NPI 1235209750
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1003901398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 US ROUTE 1",
            "address_2": "SUITE 26, BOX 10",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749052",
            "telephone_number": "207-329-9621",
            "fax_number": "207-883-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 US ROUTE 1",
            "address_2": "SUITE 26, BOX 10",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749052",
            "telephone_number": "207-329-9621",
            "fax_number": "207-883-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "DEIRDRE",
        "middle_name": "G.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC6912",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431517499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Histen, B.A.
• Mindy Hittle, AU.D.
• Gary M Hochheiser, MD
• Marie Hodge, OT
• Sara M Hoffman, PA-C
• Kristen Lynn Honsinger, MD
• Nancy A Horgan, PT
• Hospice of Southern Maine
• Loretta A Hothersall, FNP
• Mary Elizabeth Hourihan, M.D.

• All providers in Scarborough, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.